Shooting Pain In Little Finger

Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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If you are suffering from burning pain or tingling sensation in hands or feet; sharp shooting pain in legs; numbness in hands or feet, then you might be suffering from neuropathic pain. Neuropathic pain is a special type of pain which occurs when there is damage to nerve fibres, which produces tingling or burning type of pain. It is of two types: 1. Peripheral neuropathic pain: it occurs when there is an injury to peripheral nerve fibres (a-delta or c-fibers) which carries pain sensation to the brain (thalamus) for interpretation. 2. Central neuropathic pain: it occurs due to sensitization of central pain interpreting mechanisms (thalamus) to falsely feel pain when peripheral nerve fibres are no longer sending pain impulses to them. Prevention of neuropathy: 1. Avoid alcohol consumption and cigarette smoking. 2. Maintain ideal body weight/bmi (body mass index) 3. Lifestyle changes: daily exercises (>30 minutes per day) or brisk walking or swimming; avoid prolonged sitting or standing (>30 minutes). 4. Food/diet should have following components: •green vegetables e.g. Spinach, fenugreek leaves (methi), radish, etc •coloured vegetables e.g. Tomato, carrot, capsicum (green/red), ladies-finger (bhindi) •milk products e.g. Milk, buttermilk, curd, cheese (paneer) •protein-rich foods e.g. Fish, egg, chicken, pulses (daal) •fibre-rich foods e.g. Bran, oats, brown-rice •fruits e.g. Apple, orange, guava, papaya, pomegranate, berries 5. Blood sugar control (in diabetics) 6. Care of feet: •regular inspection of feet (with mirror) •comfortable, well-fitted shoes •regular consultation with a podiatrist •treatment of wounds, foot deformities 7. Adequate sleep 8. Warm water bath (increases blood flow to the affected area) treatment: •consult pain medicine specialist. •neuropathic painkillers e.g. Amitriptyline, pregabalin, gabapentin, capsaicin, duloxetine, etc. •vit. B12 supplements, anti-oxidants, multi-vitamins. •transcutaneous electrical nerve stimulation (tens) •acupuncture •relaxation and yoga •neural prolotherapy. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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This stretch is good for posture. A. Sit upright and away from the back of the chair. Pull your shoulders back and down. Extend your arms out to the side. B. Gently push your chest forward and up until you feel a stretch across your chest. Hold for 5 to 10 seconds and repeat 5 times. Upper-body twist upper-body twist this stretch will develop and maintain flexibility in the upper back. A. Sit upright with your feet flat on the floor, cross your arms and reach for your shoulders. B. Without moving your hips, turn your upper body to the left as far as is comfortable. Hold for 5 seconds. C. Repeat on the right side. Do 5 times on each side. Hip marching hip marching this exercise will strengthen hips and thighs, and improve flexibility. A. Sit upright and do not lean on the back of the chair. Hold on to the sides of the chair. B. Lift your left leg with your knee bent as far as is comfortable. Place your foot down with control. C. Repeat with the opposite leg. Do 5 lifts with each leg. Ankle stretch ankle stretch this stretch will improve ankle flexibility and lower the risk of developing a blood clot. A. Sit upright, hold on to the side of the chair and straighten your left leg with your foot off the floor. B. With your leg straight and raised, point your toes away from you. C. Point your toes back towards you. Try 2 sets of 5 stretches with each foot. Arm raises arm raises this exercise builds shoulder strength. A. Sit upright with your arms by your sides. B. With palms forwards, raise both arms out and to the side, and up as far as is comfortable. C. Return to the starting position. Keep your shoulders down and arms straight throughout. Breathe out as you raise your arms and breathe in as you lower them. Repeat 5 times. Neck rotation neck rotation this stretch is good for improving neck mobility and flexibility. A. Sit upright with your shoulders down. Look straight ahead. B. Slowly turn your head towards your left shoulder as far as is comfortable. Hold for 5 seconds and return to the starting position. C. Repeat on the right. Do 3 rotations on each side. Neck stretch neck stretch this stretch is good for loosening tight neck muscles. A. Sitting upright, look straight ahead and hold your left shoulder down with your right hand. B. Slowly tilt your head to the right while holding your shoulder down. C. Repeat on the opposite side. Strengthening exercises for knee. Weak thigh muscles contribute to the strain on your patellar tendon. Exercises that involve lowering your leg very slowly after extending it can be particularly helpful, as can exercises that strengthen all of the leg muscles in combination, such as a leg press.•this is a general knee pain and for this you can follow these measures: one keep a pillow right under the knee while sleeping, next is you can keep ice in the painful area for about 5--10 minutes, it looks like you are is important to check that. Anaemia always leads to the symptoms of being tired and also having body pain though there may not be any pathological reasons for knee pain. With knee exercises you will definitely feel better and muscles must be strengthened hold each stretch for 5 seconds and repeat 3 times on each side. Strenghtening exercises 1.pendulum stretch do this exercise first. Relax your shoulders. Stand and lean over slightly, allowing the affected arm to hang down. Swing the arm in a small circle — about a foot in diameter. Perform 10 revolutions in each direction, once a day. As your symptoms improve, increase the diameter of your swing, but never force it. When you're ready for more, increase the stretch by holding a light weight (three to five pounds) in the swinging arm. 2. Towel stretch hold one end of a three-foot-long towel behind your back and grab the opposite end with your other hand. Hold the towel in a horizontal position. Use your good arm to pull the affected arm upward to stretch it. You can also do an advanced version of this exercise with the towel draped over your good shoulder. Hold the bottom of the towel with the affected arm and pull it toward the lower back with the unaffected arm. Do this 10 to 20 times a day. 3. Finger walk face a wall three-quarters of an arm's length away. Reach out and touch the wall at waist level with the fingertips of the affected arm. With your elbow slightly bent, slowly walk your fingers up the wall, spider-like, until you've raised your arm as far as you comfortably can. Your fingers should be doing the work, not your shoulder muscles. Slowly lower the arm (with the help of the good arm, if necessary) and repeat. Perform this exercise 10 to 20 times a day. 4. Cross-body reachsit or stand. Use your good arm to lift your affected arm at the elbow, and bring it up and across your body, exerting gentle pressure to stretch the shoulder. Hold the stretch for 15 to 20 seconds. Do this 10 to 20 times per day. 5. Armpit stretch using your good arm, lift the affected arm onto a shelf about breast-high. Gently bend your knees, opening up the armpit. Deepen your knee bend slightly, gently stretching the armpit, and then straighten. With each knee bend, stretch a little further, but don't force it. Do this 10 to 20 times each day. Starting to strengthen as your range of motion improves, add rotator cuff–strengthening exercises. Be sure to warm up your shoulder and do your stretching exercises before you perform strengthening exercises. 6. Outward rotationhold a rubber exercise band between your hands with your elbows at a 90-degree angle close to your sides. Rotate the lower part of the affected arm outward two or three inches and hold for five seconds. Repeat 10 to 15 times, once a day. 7. Inward rotation stand next to a closed door, and hook one end of a rubber exercise band around the doorknob. Hold the other end with the hand of the affected arm, holding your elbow at a 90-degree angle. Pull the band toward your body two or three inches and hold for five seconds. Repeat 10 to 15 times, once a day. Shoulder exercises and stretches regular exercises and stretches can keep your shoulder strong and flexible. A few things to remember before swinging in to exercises: •stop any exercise if you have more shoulder pain. It may be too soon for you to try. •watch your form. Exercising incorrectly can also cause or worsen shoulder problems. •warm up, even before deep stretching. Light shoulder rolls, gentle movements, or even a warm shower are all ways to warm up your muscles before exercise and stretching. Pendulum stretch for range of motion•stand and bend at the waist. •let your arm on the injured side hang straight down. •keep your neck relaxed. •move your arm in a circle up to 20 times. •do once or more times in a day. Overhead shoulder stretch•sit or stand to do this shoulder stretch. •intertwine your fingers in front of you. •bend your elbows and raise your arms above your head. You can also place your hands on your head or behind it. •gently squeeze your shoulder blades together to move your elbows back. •continue for up to 20 repetitions. Repeat 5 to 10 times a day. 

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Dr. Kadiervel KBPTh/BPT, MPTh/MPTPhysiotherapist

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Swimming initiates pain on the sole, do under water walking use silicone insole do ultrasound therapy for the pain in nearby physiotherapy for 7 days along with take spinach_ alternative days and lady's finger and take a small bowl of papaya and pineapple, if the pain not reduced start stretching exercises of calf followed with mulligan taping as per the physiotherapist assessment. 

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Dr. Prakhar SinghMBBS, Basic Life Support (B.L.S), Advanced Cardiac Life Support, Fellow of Academy of General Education (FAGE)General Physician

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After you have part of your arm or leg amputated, there's a chance you could feel pain in the limb that's no longer there. This is known as phantom limb pain. It's most common in arms and legs, but some people will feel it when they have other body parts removed. Let's have a detailed discussion to ensure proper treatment. 

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Dr. Nisha MotwaniBAMSAyurvedic Doctor

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sometimes happens when Internal layer is being injured but not to worry at all it will heal automatically 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Pain radiating along the sciatic nerve, which runs down one or both legs from the lower back. Back bracea back brace or corset can provide excellent relief for most sciatica sufferers. Those who gain the most benefit are those who find their pain eases when they wrap/bind a towel or sheet (folded-lengthwise) tightly around their stomach and back. If this simple test eases your pain, you should use a back brace in the short-term. Back braces and strong deep core muscles help to avoid a recurrence in the future. Massage therapyyour spinal muscles will often present in muscle spasm, which responds favourably to soft tissue techniques such as massage therapy. You should seek the assistance of a quality remedial massage therapist to assist your sciatica treatment. Tens machinetens machines are an electronic pain relieving device that will reduce your pain and your need for pain-relieving drugs. H exercise 1: squeeze buttocksthe patient lies supine and squeezes the buttocks. Contraction is held for 5 seconds. The exercises are repeated 10 times. The patient only contracts the gluteal muscles. - exercise 2: swingthe patient is standing with the legs sligthly apart. The shoulders are relaxed and the patient swings the arms loosely alongside the body. This exercise is repeated 20 times. U have to take vitamin d rich foods. Like milk, cheese,yogurt, brocoli,spinach. U need calcium consumption for increase the bone density swiss exercise ball the unstable surface that your swiss exercise ball provides can help awaken your deep core stability muscles. Your physiotherapist can advise you specific exercises. Your swiss exercise ball will help to: eliminate your pain improve your muscular endurance and strength attain better posture, balance, body awareness and co-ordination improve your balance and flexibility learn to lift properly enjoy a low impact aerobic workout posture supportspoor sitting posture is a common cause of sciatica. To assist the support of your lower back many simple and effective products have been developed over time. These include: lumbar d-roll bassett frame kinesiology lumbar tape please ask your physiotherapist for their advice in what will help you most. Exercise sciatic nerve pain 1. Reclining pigeon posepigeon pose is a common yoga pose. It works to open the hips. There are multiple versions of this stretch. The first is a starting version known as the reclining pigeon pose. If you are just starting your treatment, you should try the reclining pose first. 1.While on your back, bring your right leg up to a right angle. Clasp both hands behind the thigh, locking your fingers. 2.Lift your left leg and place your right on top of the left knee. 3.Hold the position for a moment. This helps stretch the tiny piriformis muscle, which sometimes becomes inflamed and presses against the sciatic nerve, causing pain. 4.Do the same exercise with the other leg. Once you can do the reclining version without pain, work with your physical therapist on the sitting and forward versions of pigeon pose. 2. Sitting pigeon pose 1.Sit on the floor with your legs stretched out straight in front of you. 2.Bend your right leg, putting your right ankle on top of the left knee. 3.Lean forward and allow your upper body to reach toward your thigh. 4.Hold for 15 to 30 seconds. This stretches the glutes and lower back. 5.Repeat on the other side. 3. Forward pigeon pose 1.Kneel on the floor on all fours. 2.Pick up your right leg and move it forward on the ground in front of your body. Your lower leg should be on the ground, horizontal to the body. Your right foot should be in front of your right knee while your right knee stays to the right. 3.Stretch the left leg out all the way behind you on the floor, with the top of the foot on the ground and toes pointing back. 4.Shift your body weight gradually from your arms to your legs so that your legs are supporting your weight. Sit up straight with your hands on either side of your legs. 5.Take a deep breath. While exhaling, lean your upper body forward over your front leg. Support your weight with your arms as much as possible. 6.Repeat on the other side. 4. Knee to opposite shoulder this simple stretch helps relieve sciatica pain by loosening your gluteal and piriformis muscles, which can become inflamed and press against the sciatic nerve. 1.Lie on your back with your legs extended and your feet flexed upward. 2.Bend your right leg and clasp your hands around the knee. 3.Gently pull your right leg across your body toward your left shoulder. Hold it there for 30 seconds. Remember to pull your knee only as far as it will comfortably go. You should feel a relieving stretch in your muscle, not pain. 4.Push your knee so your leg returns to its starting position. 5.Repeat for a total of 3 reps, and then switch legs. 5. Sitting spinal stretch sciatica pain is triggered when vertebrae in the spine compress. This stretch helps create space in the spine to relieve pressure on the sciatic nerve. 1.Sit on the ground with your legs extended straight out with your feet flexed upward. 2.Bend your right knee and place your foot flat on the floor on the outside of your opposite knee. 3.Place your left elbow on the outside of your right knee to help you gently turn your body toward the right. 4.Hold for 30 seconds and repeat three times, then switch sides. 6. Standing hamstring stretch this stretch can help ease pain and tightness in the hamstring caused by sciatica. 1.Place your right foot on an elevated surface at or below your hip level. This could be a chair, ottoman, or step on a staircase. Flex your foot so your toes and leg are straight. If your knee tends to hyperextend, keep a slight bend in it. 2.Bend your body forward slightly toward your foot. The further you go, the deeper the stretch. Do not push so far that you feel pain. 3.Release the hip of your raised leg downward as opposed to lifting it up. If you need help easing your hip down, loop a yoga strap or long exercise band over your right thigh and under your left foot. 4.Hold for at least 30 seconds, and then repeat on the other side. If you have low back pain and sciatica you can undergo intermittent pelvic traction where in your half of your body weight will be added in the electronic traction so that that would help you to reduce the pain, along with interferential therapy stimulations which would help you to get relieved from the radiating pain. Apply ice for the pain to get subsided immediately. If you cannot go immediately for the physiotherapy treatment. Ice can be kept in the low back where you have back pain. It is suggestible to wear lumbo sacral belt which would help you to build the abdominal muscle tone which itself would make you feel better. You can also wear mcr chappals which would help you to have less weight falling in the painful back. U have to take vitamin d rich foods. Like milk, cheese,yogurt, brocoli,spinach. U need calcium consumption for increase the bone density. Lack of bone and bones crush inside the body this might be due to low calcium or vitamin d which has more impact on the bone density and also it makes one to feel that there is lack of bone strength or in a way the bones are brittle and almost breaking and they feel it is crushed in a way there are many bones breaking at the same time. You have to take vitamin d rich foods. Like milk, cheese,yogurt, brocoli, spinach.u need calcium. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Treatment methods are: night time saturation records with pulse oximeter and bilevel positive airway pressure (bipap) may be indicated for the patients. Physical therapy measures (chest percussion, breathing exercises, resistive inspiratory training) may be required to clear respiratory secretions to reduce the work of breathing. Special weaning protocol to prevent over fatigue of respiratory muscles can be recommended for more severe patients with tracheostomy. Patients with cranial nerve involvement need extra monitoring as they are more prone to respiratory dysfunction. Patients should be encouraged to cease smoking. Posturally drain areas of lung tissues, 2-hourly turning into supine or side lying positions. 2-4 litre anaesthetic bag can be used to enhance chest expansion. Therefore, 2 people are necessary for this technique, one to squeeze the bag and another to apply chest manipulation. Rib springing to stimulate cough after the removal of a ventilator and adequate expansion, effective coughing must be taught to the patient maintain normal range of movement gentle passive movements through full rom at least three times a day especially at hip, shoulder, wrist, ankle, feet. Orthoses use of light splints (eg. Using plastazote) may be required for the following purpose listed below: a) support the peripheral joints in comfortable and functional position during flaccid paralysis. B) to prevent abnormal movements. C) to stabilize patients using sandbags, pillows. Prevention of pressure sores 2- hourly change in patients position from supine to side lying. If the sores have developed then uvr or ice cube massage to enhance healing. Maintenance of circulation a) passive movements b) effleurage massage to lower limbs. Relief of pain: a) transcutaneous electrical nerve stimulation b) massage with passive rom c) patient can demonstrate increased sensitivity to light touch, a cradle can be used to keep the bed sheet away from the skin. Low-pressure wrapping or snug fitting garments can provide a way to avoid light touch. D) reassurance and explanation of what to expect can help in alleviation of anxiety that could compound the pain. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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Sciatica can be treated by exercises and life style modifications. A back brace or corset can provide excellent relief for most sciatica sufferers. Those who gain the most benefit are those who find their pain eases when they wrap/bind a towel or sheet (folded-lengthwise) tightly around their stomach and back. If this simple test eases your pain, you should use a back brace in the short-term. Back braces and strong deep core muscles help to avoid a recurrence in the future. Pain radiating along the sciatic nerve, which runs down one or both legs from the lower back. Swiss exercise ball the unstable surface that your swiss exercise ball provides can help awaken your deep core stability muscles. Your physiotherapist can advise you specific exercises. Your swiss exercise ball will help to: eliminate your pain improve your muscular endurance and strength attain better posture, balance, body awareness and co-ordination improve your balance and flexibility learn to lift properly enjoy a low impact aerobic workout posture supportspoor sitting posture is a common cause of sciatica. To assist the support of your lower back many simple and effective products have been developed over time. These include: lumbar d-roll bassett frame kinesiology lumbar tape please ask your physiotherapist for their advice in what will help you most. Exercise sciatic nerve pain 1. Reclining pigeon posepigeon pose is a common yoga pose. It works to open the hips. There are multiple versions of this stretch. The first is a starting version known as the reclining pigeon pose. If you are just starting your treatment, you should try the reclining pose first. 1.While on your back, bring your right leg up to a right angle. Clasp both hands behind the thigh, locking your fingers. 2.Lift your left leg and place your right ankle on top of the left knee. 3.Hold the position for a moment. This helps stretch the tiny piriformis muscle, which sometimes becomes inflamed and presses against the sciatic nerve, causing pain. 4.Do the same exercise with the other leg. Once you can do the reclining version without pain, work with your physical therapist on the sitting and forward versions of pigeon pose. 2. Sitting pigeon pose 1.Sit on the floor with your legs stretched out straight in front of you. 2.Bend your right leg, putting your right ankle on top of the left knee. 3.Lean forward and allow your upper body to reach toward your thigh. 4.Hold for 15 to 30 seconds. This stretches the glutes and lower back. 5.Repeat on the other side. 3. Forward pigeon pose 1.Kneel on the floor on all fours. 2.Pick up your right leg and move it forward on the ground in front of your body. Your lower leg should be on the ground, horizontal to the body. Your right foot should be in front of your right knee while your right knee stays to the right. 3.Stretch the left leg out all the way behind you on the floor, with the top of the foot on the ground and toes pointing back. 4.Shift your body weight gradually from your arms to your legs so that your legs are supporting your weight. Sit up straight with your hands on either side of your legs. 5.Take a deep breath. While exhaling, lean your upper body forward over your front leg. Support your weight with your arms as much as possible. 6.Repeat on the other side. 4. Knee to opposite shoulder this simple stretch helps relieve sciatica pain by loosening your gluteal and piriformis muscles, which can become inflamed and press against the sciatic nerve. 1.Lie on your back with your legs extended and your feet flexed upward. 2.Bend your right leg and clasp your hands around the knee. 3.Gently pull your right leg across your body toward your left shoulder. Hold it there for 30 seconds. Remember to pull your knee only as far as it will comfortably go. You should feel a relieving stretch in your muscle, not pain. 4.Push your knee so your leg returns to its starting position. 5.Repeat for a total of 3 reps, and then switch legs. 5. Sitting spinal stretch sciatica pain is triggered when vertebrae in the spine compress. This stretch helps create space in the spine to relieve pressure on the sciatic nerve. 1.Sit on the ground with your legs extended straight out with your feet flexed upward. 2.Bend your right knee and place your foot flat on the floor on the outside of your opposite knee. 3.Place your left elbow on the outside of your right knee to help you gently turn your body toward the right. 4.Hold for 30 seconds and repeat three times, then switch sides. 6. Standing hamstring stretch this stretch can help ease pain and tightness in the hamstring caused by sciatica. 1.Place your right foot on an elevated surface at or below your hip level. This could be a chair, ottoman, or step on a staircase. Flex your foot so your toes and leg are straight. If your knee tends to hyperextend, keep a slight bend in it. 2.Bend your body forward slightly toward your foot. The further you go, the deeper the stretch. Do not push so far that you feel pain. 3.Release the hip of your raised leg downward as opposed to lifting it up. If you need help easing your hip down, loop a yoga strap or long exercise band over your right thigh and under your left foot. 4.Hold for at least 30 seconds, and then repeat on the other side. If you have low back pain and sciatica you can undergo intermittent pelvic traction where in your half of your body weight will be added in the electronic traction so that that would help you to reduce the pain, along with interferential therapy stimulations which would help you to get relieved from the radiating pain. Apply ice for the pain to get subsided immediately. If you cannot go immediately for the physiotherapy treatment. Ice can be kept in the low back where you have back pain. It is suggestible to wear lumbo sacral belt which would help you to build the abdominal muscle tone which itself would make you feel better. You can also wear mcr chappals which would help you to have less weight falling in the painful back. You have to take vitamin d rich foods. Like milk, cheese,yogurt, brocoli,spinach. U need calcium consumption for increase the bone density. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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A back brace or corset can provide excellent relief for most sciatica sufferers. Those who gain the most benefit are those who find their pain eases when they wrap/bind a towel or sheet (folded-lengthwise) tightly around their stomach and back. If this simple test eases your pain, you should use a back brace in the short-term. Back braces and strong deep core muscles help to avoid a recurrence in the future. Massage therapyyour spinal muscles will often present in muscle spasm, which responds favourably to soft tissue techniques such as massage therapy. You should seek the assistance of a quality remedial massage therapist to assist your sciatica treatment. Tens machinetens machines are an electronic pain relieving device that will reduce your pain and your need for pain-relieving drugs. H exercise 1: squeeze buttocksthe patient lies supine and squeezes the buttocks. Contraction is held for 5 seconds. The exercises are repeated 10 times. The patient only contracts the gluteal muscles. - exercise 2: swingthe patient is standing with the legs sligthly apart. The shoulders are relaxed and the patient swings the arms loosely alongside the body. This exercise is repeated 20 times. U have to take vitamin d rich foods. Like milk, cheese,yogurt, brocoli,spinach. U need calcium consumption for increase the bone density poor sitting posture is a common cause of sciatica. To assist the support of your lower back many simple and effective products have been developed over time. These include: lumbar d-roll bassett frame kinesiology lumbar tape please ask your physiotherapist for their advice in what will help you most. Exercise sciatic nerve pain 1. Reclining pigeon posepigeon pose is a common yoga pose. It works to open the hips. There are multiple versions of this stretch. The first is a starting version known as the reclining pigeon pose. If you are just starting your treatment, you should try the reclining pose first. 1.While on your back, bring your right leg up to a right angle. Clasp both hands behind the thigh, locking your fingers. 2.Lift your left leg and place your right ankle on top of the left knee. 3.Hold the position for a moment. This helps stretch the tiny piriformis muscle, which sometimes becomes inflamed and presses against the sciatic nerve, causing pain. 4.Do the same exercise with the other leg. Once you can do the reclining version without pain, work with your physical therapist on the sitting and forward versions of pigeon pose. 2. Sitting pigeon pose 1.Sit on the floor with your legs stretched out straight in front of you. 2.Bend your right leg, putting your right ankle on top of the left knee. 3.Lean forward and allow your upper body to reach toward your thigh. 4.Hold for 15 to 30 seconds. This stretches the glutes and lower back. 5.Repeat on the other side. 3. Forward pigeon pose 1.Kneel on the floor on all fours. 2.Pick up your right leg and move it forward on the ground in front of your body. Your lower leg should be on the ground, horizontal to the body. Your right foot should be in front of your right knee while your right knee stays to the right. 3.Stretch the left leg out all the way behind you on the floor, with the top of the foot on the ground and toes pointing back. 4.Shift your body weight gradually from your arms to your legs so that your legs are supporting your weight. Sit up straight with your hands on either side of your legs. 5.Take a deep breath. While exhaling, lean your upper body forward over your front leg. Support your weight with your arms as much as possible. 6.Repeat on the other side. 4. Knee to opposite shoulder this simple stretch helps relieve sciatica pain by loosening your gluteal and piriformis muscles, which can become inflamed and press against the sciatic nerve. 1.Lie on your back with your legs extended and your feet flexed upward. 2.Bend your right leg and clasp your hands around the knee. 3.Gently pull your right leg across your body toward your left shoulder. Hold it there for 30 seconds. Remember to pull your knee only as far as it will comfortably go. You should feel a relieving stretch in your muscle, not pain. 4.Push your knee so your leg returns to its starting position. 5.Repeat for a total of 3 reps, and then switch legs. 5. Sitting spinal stretch sciatica pain is triggered when vertebrae in the spine compress. This stretch helps create space in the spine to relieve pressure on the sciatic nerve. 1.Sit on the ground with your legs extended straight out with your feet flexed upward. 2.Bend your right knee and place your foot flat on the floor on the outside of your opposite knee. 3.Place your left elbow on the outside of your right knee to help you gently turn your body toward the right. 4.Hold for 30 seconds and repeat three times, then switch sides. 6. Standing hamstring stretch this stretch can help ease pain and tightness in the hamstring caused by sciatica. 1.Place your right foot on an elevated surface at or below your hip level. This could be a chair, ottoman, or step on a staircase. Flex your foot so your toes and leg are straight. If your knee tends to hyperextend, keep a slight bend in it. 2.Bend your body forward slightly toward your foot. The further you go, the deeper the stretch. Do not push so far that you feel pain. 3.Release the hip of your raised leg downward as opposed to lifting it up. If you need help easing your hip down, loop a yoga strap or long exercise band over your right thigh and under your left foot. 4.Hold for at least 30 seconds, and then repeat on the other side. If you have low back pain and sciatica you can undergo intermittent pelvic traction where in your half of your body weight will be added in the electronic traction so that that would help you to reduce the pain, along with interferential therapy stimulations which would help you to get relieved from the radiating pain. Apply ice for the pain to get subsided immediately. If you cannot go immediately for the physiotherapy treatment. Ice can be kept in the low back where you have back pain. It is suggestible to wear lumbo sacral belt which would help you to build the abdominal muscle tone which itself would make you feel better. You can also wear mcr chappals which would help you to have less weight falling in the painful back. Treatment of sciatica pain, low back pain and leg pain from piriformis syndrome, using stretching, exercise, physical therapy, ice and heat. 

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Dr. Julie Mercy J DavidErasmus Mundus Master in Adapted Physical Activity, MPT, BPTh/BPTPhysiotherapist

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A back brace or corset can provide excellent relief for most sciatica sufferers. Those who gain the most benefit are those who find their pain eases when they wrap/bind a towel or sheet (folded-lengthwise) tightly around their stomach and back. If this simple test eases your pain, you should use a back brace in the short-term. Back braces and strong deep core muscles help to avoid a recurrence in the future. Massage therapyyour spinal muscles will often present in muscle spasm, which responds favourably to soft tissue techniques such as massage therapy. You should seek the assistance of a quality remedial massage therapist to assist your sciatica treatment. Tens machinetens machines are an electronic pain relieving device that will reduce your pain and your need for pain-relieving drugs. H exercise 1: squeeze buttocksthe patient lies supine and squeezes the buttocks. Contraction is held for 5 seconds. The exercises are repeated 10 times. The patient only contracts the gluteal muscles. - exercise 2: swingthe patient is standing with the legs sligthly apart. The shoulders are relaxed and the patient swings the arms loosely alongside the body. This exercise is repeated 20 times. U have to take vitamin d rich foods. Like milk, cheese,yogurt, brocoli,spinach. U need calcium consumption for increase the bone density. 

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